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SUBJECT
City of Fridley ° 16
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T �
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COMMUNITY DEVELOPMENT DIV. � � �
r � � PROTECTIVE INSPECTION SEC.
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� � /'�'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BV
�'"""� � ,`� 612-571-3450 910-F15
8 27 82 . � �
JOB ADDRESS 585 Ironf�n Street N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION
DESCR. 31�32 F Riverview Heights SHE T�ACHED
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Ernest H. Osterberg 585 Ironton Street N.E. 784-7395
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
$dILiG
4 ARCHITECTOR DESIGNER MAILADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
r f 'n
8 CHANGE QF USE FROM TO
STIPULATIONS
Roof can be 2nd but not 3rd r�f. Install ridged galvanized valleys.
SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WOHK OR CONSTRUCTION ZONING S0. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IP CON&TRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WOFK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �- STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED �S`%SO yfi.SO
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- y�`]_ rj.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE TOTAL FEE
$15. 50
�� SIGNATUREOFCONTRACTORORAU OR12EDAG NT IDATEI WHEN PROPERLV ATED THIS IS YOUR PERMIT
.v�m` ��-� �'.�-,� � � � '` - - � ��
SIGNATUREOF OWNER iIF OWNER BUILDERI IDATEI BLDG iNSP fj TE
e
CITY Of FRIDLCY Effective Aug. 1, 1981
APPLICATI��I fOfi RESIDEiVTI/l� BUILQIi1G PCRi�IITS
(t�c��, Alterations, AddiLions, or Repairs)
ONlNER:�-hesi � ��-�eL_���-� 13UILD�R: -scrcn1 � � �
ADDRESS: �S'�� �rv��o�-i S�� II�• �• AODRCSS:
TEL N0: ��— 7� Q� � TEL t�0:
Construction Location
- ST1tII�T NO: ��.� STitEET: �ro�� 6�-, �l- ��• L-,
IAT: �I. 3� BLOQC: i� ADDITION: �IVP>1'Vl�GJ II�.1g' �'C
Corner Lot: Insfc3e Lots r/ Setback: Sideyards:
Ap�licant attach to tl�is fo�cm two Certificates of Survey of lot and
p=op�sed building location drawn on certificates to scale.
DESCRIPTIOi� OF COF�STRUCTIOW
Cy o� Front: Depth: Height:
Square.Feet: Qibic Feet:
_ Front: Depth: Height:
Squar.e Feet: Wbic Teet:
4ype of Cor,structi�n: �s��� �-� .��j��S Estimated Cost: ��"'�..-�J-.-.� ��� '�
Rb Be O�r.�pleted: �. y� �h�� � _
Alt. A Alt. B
Proposed Driveiaay Width If New Opening Is Desired: �' $
. . 6E� REVERiE SIDE OF SHEET
T'iie un8ersigned hereby ma3:e3 application for a permit fer the ��erk herein specified,
agreeinq to co ,all werk ir, strict accor8�ee aith the City of I'ridle}� Ordivances E11C1
ruling� of the De1hlrtm�� of 13uildingso 8nci hereby 8eclares that all the facts and
repres�tatiens stated ira �r,$s �pplfcation are true and correct.
D.�TE: �/� 7/ � � SIGNATUF� : /,�'�'"'� `-�r"''-�
Stipulaticns�:
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BUILDING PERMIT FEE SCHEDULE
The Inspector of buildinqs shall, before issuing permits for the
esection of any buildinq or structure, or for any addition to any
bxistinq buildinq or structure, or for any alteration or repairs
to any eaistiaq building or structure, upon application therefore,
zequ3re the payment by the applicant f or euch pezmit of �ees to the
amouat bezein below set forth and in the manner herein provided to-wit:
TOTAL VAI�iJATION
51.00 tc 5500.00
5501 to $2,000
52,001 to $25,000
525,001 to $50,000
FEES
S10.00 Minimum Fee 515.00 plus surcharge
510.00 for the first 5500 plus $1.50 for each
additional $100 cr fraction thezeof, to and
including 52,000
532.50 for the first $2,0�0 plus S6.00 foz each
additional $�,000 or fraction thpseof, to and
fr►cludinq $25,000
$170.50 for the first $25,000 plus $4.50 for
each additional $1,000 oz fraction thereof, to
end includinq 550,000
$50,001 to 5100,000 S283.00 for the first $50,000 plus $3.00 for
each additional $1,000 oz fraction thereof, to
and including $100,000
$100,001 ar�d up $443.00 for the first $100,000 plus 52.50 for
each additional $1,000 or fraction thereof
PLAN CHECR: 25 perce�t of buildinq pezmit fee
DRIVi��1AY DEPRESSION ESQtOW: Concrete Qirb Streets �ly
Alternate "A": Removeal and replacesner�t of curb and qutter only
Driveway width plus 6 feet z$13.50
Alternate "B": Raooval and replaceme�t of curb and qutter and install a 3 foot
wide apg�roach with 6 inch depth
Driv�eway width plus b feet x$15.75
VERIFICATION OF FOUNDATION
Perm3ts for construction will be issued a minimwn of 24 hours fran the time of
application to allow for proper review of the proposed structure and of the
constzu ction site.
A Ceztificate of Survey of the lot, shawing the location of the founc]ation once it
has beea constructed will be reguired before proceedinq with the frami.ng.
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